Showing posts with label spinal injury. Show all posts
Showing posts with label spinal injury. Show all posts

Thursday, September 1, 2016

Day 2453

We have become the bad back family. It goes without saying that Dot has the worst problems. Neurological damage resulting from a ruptured disc in her spine has nearly crippled her. Last week Dash's vet said that his stiff awkward walk may be caused by a bulging disc in his spine as well. Janet has had lower back problems for years, and this morning I woke up with a bad back for the second day in a row. It's kind of hard to have a normal day when your back hurts. Hopefully, a little extra rest and avoiding heavy lifting for a while will get me back to normal. Several years ago I had a pinched nerve in my neck and I discovered how debilitating spinal problems can be. To this day, I have no idea what I did to cause my neck injury. I don't have a clue why I woke up with a bad back yesterday either.

I activated my free satellite radio trial today and of course it didn't work. I remember that I had the same problem connecting to the satellite the last time I took advantage of one of these free trial offers. Last year it took three or four phone calls and fifteen minutes of sitting in the car with the motor running before Sirius XM finally found my car.  I never bothered subscribing to the service before and I probably won't this time either. I never listen to music in the car anyway, so all I wanted were some extra news and weather channels. The sound quality of these voice only channels was terrible. Everything was severely compressed to save bandwidth. It wasn't what I was expecting. Probably the only reason I signed up for the trial again was the message that said "absolutely no obligation. no credit card required." I'll eventually get the car paired with the satellite, listen to a few programs, and then receive six months worth of junk mail asking me why I didn't subscribe.

I got another writing assignment today, but there wasn't enough input to actually start writing. I asked some questions, received a few vague answers, and decided to postpone this project until tomorrow. I often receive very little input on my writing assignments. I think people hire me because I'm pretty good at just making stuff up. Show me a picture and I'll invent a plausible story. I'm surprised that I never got into writing political speeches. Making absolutely nothing sound good has always been a specialty of mine.

I did write a letter to my Luddite sister. Since she lives directly in the path of that hurricane heading for the Florida coast, there's a chance that my letter will never arrive. Maybe the mailbox will just float away. I wonder why people live in hurricane zones? Hurricanes seem to hit the same places again and again. Of course, I live in what many would call a tornado zone, so you could say the same thing about me.

I got my electric bill today and it was even higher than it was last August. I could have sworn that last August was a lot hotter than it was this year, but maybe I was wrong. I have a feeling that the bill increased because of the dehumidifier. Dehumidifiers use a lot of electricity. I guess a large electric bill is better than mold in the closets though. The house seems a lot more livable since we've got the humidity under control.

I'll write my article tomorrow and see whether I can convince Dash to get back to his regular walking schedule. I'm debating whether to drive a little further and look for a new breakfast restaurant. It kind of bothers me that I don't have a favorite place anymore.

Spot is today's Dalmatian of the Day
Watch of the Day

Sunday, August 9, 2015

Day 2063

Sunday has become one of the busiest days of the week. Things that tend to get postponed or forgotten about during the rest of the week usually get tended to on Sunday. This is when the house gets cleaned, the gardening gets done, and most of my bookkeeping for the business takes place. When you add in a trip to the dog park for Dash and a trip to the gym for me, it can become a very busy day.

Now that we get up extra early to take Dot on her pre-dawn walk, it seems like I've added an extra two hours to my day. I've never been a morning person, but I might eventually become one at this rate. I've always been a light sleeper. Now, instead of putting my head under a pillow and refusing to admit that I'm awake, I just get up. I've grown to enjoy these early morning walks. It's really the only time a sane person would even want to be outside in August. There's usually a nice breeze before the sun comes up and Dot enjoys smelling things and barking at the occasional rabbits and squirrels we see along the way. We are usually able to take Dot on her exercise walk, feed the dogs, eat our own breakfast, take Dash to the dog park, and still be back home before 9 AM.

This leaves a lot of time to do laundry, change the sheets on the bed, water the plants in the back yard, vacuum the carpets, recharge batteries in the electronic gadgets, and go to the gym. If I time things right, I'm even able to listen to Ted Talks on the radio on the way to my workout. This seems like a good way to spend a Sunday to me. Things get done. I'm able to start the week fresh on Monday morning. And by staying busy, there is little time to brood about how boring my life has become.

I'm not nearly as exhausted as I initially was when I started my Sunday workouts, so maybe it's time to add a few more things to my routine. The hand bicycle and treadmill provide a pretty good cardio workout. I still enjoy shooting baskets from the free throw line, and there are several resistance machines I always use. Maybe it's time to start working with free weights again. Adding an extra twenty minutes to my workout probably wouldn't kill me.

Tomorrow, I'll finally be done with the dental work that started in January. The dentist will remove a temporary crown I've had in my mouth for over a month and replace it with a permanent porcelain crown. Hopefully, now that all my major dental problems have been corrected, I'll just need to go in for a routine cleaning every six months or so. Maybe with these big dental bills behind me, I'll finally have money for something fun. I kind of doubt it though. Life is always full of surprises.

I really hope that Dot's weak leg will start to improve, now that she's off the Palladia for a while. I'll be watching her closely this week, because if the chemotherapy is what was causing the renewed muscle weakness in her rear legs, we should start to notice a change within four days. I'm not expecting miracles. Even a small improvement would be a huge plus. Before beginning chemotherapy, Dot was getting to the point where she could get up and down on her own around the house without assistance from me. This gave her a feeling of independence and made her much happier. Maybe we'll get there again. Like I said, life is full of surprises.

Nautica is today's Dalmatian of the Day
Watch of the Day

Saturday, March 7, 2015

Day 1908

Today was kind of a preview of what's to come. Dot was restless and wanted to move around, but wasn't strong enough to move by herself. I held her up with the harness while we went inside and outside and walked back and forth from room to room. Periodically, she would get tired and rest in her dog bed for a while, but just as soon as I got started on something myself, she wanted to get up again. Dot likes to sleep in the kitchen and near a big window in the bedroom, but she's decided that she doesn't like the office anymore. She seems to be looking for brightly lit areas and the office is admittedly the darkest room in the house. This is unfortunate, because the office is still where I need to spend the most time.

Needless to say, I didn't get a lot done today. When Janet was home earlier in the day I was finally able to get the water off the roof but it was probably a wasted effort. There is more rain in the forecast for tomorrow. When I'm up on the roof, I feel like Sisyphus, eternally pushing a huge boulder up a hill. It is necessary to remove the water because it is heavy and over time will warp the roof beams and cause the roof to settle even more if I just ignore it. Standing water will also cause another leak if I just ignore it. Nothing is waterproof forever. Water is very patient. If you leave it alone, it will eventually find a way inside. All this being said, it is still very frustrating to spend hours removing all the water from the roof and then have it rain the very next day.

My teeth, which had seemed just fine for months, suddenly became sensitive to cold again yesterday. This worries me, because I've decided to put off all the dental work I need until I get Dot's surgery bills paid off. I had been planning to get the wisdom teeth removed in early February, but it wasn't meant to be. Dot's spinal injury intervened. I can only deal with one crisis at a time. The last thing I need right now is a dry socket from a tooth extraction while Dot is having serious problems of her own. Luckily, Dot seems to be getting better. Maybe by Summer, Dot will be walking normally again and I can move on to overcoming my fears of going to the dentist.

Tomorrow, we will be able to cut Dot's prednisolone dose in half. Prednisolone causes dogs to increase their water intake. Dot drinks water constantly now and can't make it through the night without going outside to pee around 3 AM. On a lower dose, I think we'll all sleep better. I'm sleeping so lightly now, that my fitness tracker app asks me whether my nighttime activity is really sleep. I miss the days of having two lazy dogs on the bed who didn't want to get up at all.

Of course, daylight saving time goes into effect tomorrow and this will mess up my sleep schedule even more. I don't know why we need more daylight in the evening anyway. I want more daylight in the morning, so it's easier to wake up. The days were just starting to get long enough for the sun to come through the bedroom window a little before 7 AM. Now, after the time change, it will be dark again when we need to get up.

Dot is sleeping peacefully now. I wish she was sleeping peacefully this afternoon when I had a long list of chores to do around the house. Now, I'm too tired to finish these chores. Oh, well. There's always tomorrow. I have a feeling that I'm going to be saying "there's always tomorrow," quite frequently in the days and weeks ahead.

Connor is today's Dalmatian of the Day
Watch of the Day

Saturday, February 28, 2015

Day 1901

Although the weather got even worse overnight, Dot continues to get better. I was amazed that Dot's medical team even managed to get to the hospital today, since roads throughout the area were a sheet of ice when we woke up this morning. We were a little nervous when we didn't get our usual morning progress report phone call from the neurologist, but I imagine that things were pretty hectic at the hospital today. When we did get the call, everyone was all smiles. Dot continues to beat the odds with her amazing strength and determination. The neurologist told me that she and and others at the hospital find it hard to believe how old Dot actually is, since she continues to act like a much younger dog.

Dot is using her legs more than she was yesterday and appears to be in good spirits. Her appetite is good and she is sleeping well without strong sedatives. The hospital has already discontinued narcotic painkillers like Tramadol because Dot doesn't appear to need them. I'm glad they did this. I've never liked Tramadol anyway. It can be very addictive and has been responsible for many more accidental overdose deaths in humans than most people realize.

If Dot continues to improve at her current rate, she may end up being one of the lucky dogs who begin walking again in two or three weeks. Her nurse says she is already trying to put weight on her rear legs, although she still receives support from the Help "Em Up Harness whenever she tries to move. When I was using the harness with Dot before her surgery I could easily tell when she was trying to walk. There is a handle on the rear part of the harness just above the dogs hips and you hold it so the rear legs touch the ground without having to bear much weight. It feels a bit like being a puppeteer. As you get better at using the harness, you can sense when the muscles are working and when to provide more support. You can even encourage natural leg motion with subtle movement of your wrist. I think it is fantastic that Dot is already tentatively trying to walk, because I have heard that it can take up to three months before this happens.

The weather is so bad that Dot is much better off at the hospital that she'd be at home right now. Our yard is still slick and icy and the house is a bit chilly. Luckily, our furnace is working great this winter and there haven't been any problems with roof leaks. I'm used to spending lots of time in the house, but Janet is already getting cabin fever. She was determined to get out today and decided to go do her usual Saturday errands anyway despite the bad roads.

As the day progressed, the traffic in front of the house began to move faster and faster until I eventually became convinced that the roads were safe. I bundled up in a warm coat and left to do my errands as well. This was probably a mistake. The first thing I encountered was an enormous downed tree that had fallen across the road, blocking all but a single lane of traffic. When I successfully navigated this logjam, I quickly discovered that everyone in town had cabin fever. The roads were actually crowded today.

Most roads were clear and dry, except when they weren't. There were still patches of black ice here and there and they often caught people driving fifty miles an hour completely by surprise. Even though most of the ice had melted by mid-afternoon, I still saw quite a few wrecks. I drive slowly in this type of weather, never braking hard and coasting to a stop wherever I can. I'm always keeping an eye on my rear view mirror. I learned to drive in Alaska where the roads were icy all Winter. Ice is seldom the problem. It's the driver behind you who ignores the ice that causes most of the wrecks.

Dash has already appropriated Dot's special new dog bed. This is a minor problem though. Dogs are just like children in many ways. Tomorrow we will work on getting the house ready for Dot's return. If her progress continues, she could come home as soon as Monday afternoon.

Connor is today's Dalmatian of the Day
Watch of the Day

Friday, February 27, 2015

Day 1900

When Dot's neurologist called this morning to give us a progress report, she seemed pleased. Dot is already eating and drinking water on her own, so she was taken off of IV fluids today. When the nurses help her out to pee using a special sling under her belly, Dot moves her rear legs and even squats fairly normally. She can't support her own weight yet, or walk unassisted, but the neurologist assures me that this is normal at this stage of the game. Dot is still very weak and on a lot of pain medication, but everyone at the hospital thinks she's doing even better than expected. Her doctors are optimistic that she will learn to walk again.

I'm glad Dot is safe and warm at the hospital now, because the weather in Dallas has turned cold and nasty. It snowed most of the day and the temperature never got above freezing. Traffic was a nightmare and there were lots of wrecks all over the city. Janet and I both canceled afternoon appointments when we saw how the traffic was inching along in front of our house. It just wasn't worth trying to get out in this mess. You don't really worry about snow or ice when you venture out on days like this. You worry about the other drivers. A single idiot who doesn't know how to drive on snow can snarl up traffic for hours.

Dash is such a baby about walking in the rain that I didn't think he'd go out in the snow at all. Much to my surprise, he seemed to enjoy the stuff. We took a long walk where he hopped around in the small drifts, smelled the tracks left by other animals in the snow, and peed on everything. I think I got cold long before Dash did. I took some pictures while we were out to document the rare snowfall. The one I liked the best captured a single perfect snowflake caught in a spiderweb. If you look carefully, you can see the six sided flake suspended in the web.

We were going to visit Dot this weekend, but that will depend on the weather. It could get better tomorrow, or it could get worse. I think even the weather forecasters have given up trying to predict things. Two days ago, they said it was going to be sunny today. UPS delivered Dot's new rehabilitation dog bed this evening. It looks like it's about the right size and can be easily repositioned around the house when needed. Now we've just got to figure out an easy way to quickly assemble a secure fence around the bed when we have to leave. A friend said that that we could use some of the rubber backed rugs she'd used when she had an older dog who had difficulty walking. Slowly but surely, we're getting the house ready for Dot's return.

I'm glad I went to my favorite restaurant yesterday, because I certainly didn't feel like venturing out in the snow today. Apparently, not everybody shared my aversion to the wet stuff. Schools closed early and children were enjoying sledding down hills all over the neighborhood. I guess I've lost the fascination with snow I had as a child. I didn't build a snowman or even make a snow angel. It was fun watching Dash cavort around in the snow on our walk, but even he was glad to get back inside again where it was warm. I've got my fingers crossed for another sudden temperature reversal and a quick return to warmer weather. With the fickle Winter we've been having, it could happen at any time.

Thanks for keeping Dot in your thoughts and prayers. I'm looking forward to tomorrow's report from her medical team and I'll keep you posted on how she's doing. This remarkable dog has beat the odds again and again. Dot has been an inspiration to me for many years and it looks like the old girl is not ready to relinquish her role as the head of the household yet.

Princess is today's Dalmatian of the Day
Watch of the Day

Thursday, February 26, 2015

Day 1899

I've been on pins and needles all day. Time passes very slowly when things are completely out of your control. We got up early this morning and drove Dot to the veterinary specialty center in Lewisville so she could be admitted for surgery. We filled out a bunch of paperwork, said goodbye to Dot, and then we waited. It was very quiet in the house today without Dot to warn us of cats and squirrels in the back yard. Even Dash could sense that something was wrong. I could tell Dot was scared when we were admitting her to the hospital this morning. I tried to reassure her, but I don't think I did a very good job. I was scared too

I tried to keep myself busy while I waited for the all important phone call from the surgeon. I went out to breakfast, even though it was almost lunchtime when we arrived back in Dallas. I finished a couple of writing assignments and sent them off to the client. I took Dash on a long and somewhat cold walk and then did a lot of pacing around the house. Finally, about 4:30 PM, the call I'd been waiting for arrived. The surgeon had good news. The arduous three hour surgery has gone well. The surgeon felt that she had been successful in removing the broken disc fragments in the L1 vertebrae that had been pressing on Dot's spinal cord. Now that the spinal cord is no longer compressed, the nerves will have a chance to heal and if we are lucky, Dot will walk again. Sometimes when a spinal disc ruptures, the fragments become attached to, or embedded in nearby blood vessels and are very difficult to remove. Dot was lucky. The fragments that had broken off and caused her paralysis were still clean and the surgeon was successful in removing all of them.

Dot is still not out of the woods yet, but she survived the surgery. That's the important thing. When the surgeon called, Dot was just waking up from anesthesia and was still under heavy sedation. She will be watched carefully tonight and for the next several days until her condition stabilizes. On Saturday, Dot's physical therapy vet will come to the hospital to give her acupuncture. This, along with cold pacs and laser treatments, will help reduce inflammation and speed healing.The best thing I heard from the surgeon today was that while Dot was waking up from anesthesia, she moved her rear legs. It was just a reflex action, but it means that there is still a nerve connection between the legs and the spine. There is hope.

Dot will spend the next five days in the hospital. While she is recovering, Janet and I will try to prepare the house for her return. We will need to connect the rooms with rubber backed carpet runners so Dot can safely move about without slipping on the brick floors. We will construct a "safe" area where we can leave Dot for short periods of time when we have to leave the house. It is very difficult to crate a large dog with leg injuries, so I am envisioning something that can be placed securely around a dog bed, so she cannot attempt to get up and move about on her own without supervision. Even if things go very well, we will have to continue to support Dot using the Help 'Em Up Harness for quite a while.

Our very first Dalmatian had spinal surgery to remove a tumor when he was eight years old. Spot's recovery was difficult for all of us, but he did learn to walk again and continued to live a happy life. I'm hoping that Dot can do the same. Spot's spinal surgery was the first. I'm hoping that Dot's will be the last. After dealing with nine difficult surgeries on five different dogs, I'm not sure I have the stamina to do this again.

Bingo is today's Dalmatian of the Day

Watch of the Day

Wednesday, February 25, 2015

Day 1898

I'll never get used to Texas weather. There was rain mixed with sleet when I woke up. By the time I finished breakfast, the rain had turned to snow. By lunchtime the snow had already melted. By the time I took Dash on his evening walk there were clear blue skies and sixty five degree temperatures. This happens frequently. Actually, I think we are supposed to repeat the whole schizophrenic weather pattern this weekend.

I spent a big chunk of today retouching a photo for a client in Photoshop. It amazes me how much Photoshop has changed the way we look at things during the past twenty years. Photoshop isn't just for Sports Illustrated swimsuit models these days. Everybody uses it. We have gotten so used to looking at idealized perfection that people can't seem to tolerate images that show anything less.

Against my better judgement, I climbed up on the roof and cleared the accumulated water off the roof as soon as the skies cleared. There was an enormous amount of standing water on the roof and I didn't want it to freeze. Yes, within 48 hours another cold wave will arrive and we will have sub-freezing temperatures again. I wish I could just ignore the water, but it is so heavy that the longer I leave it, the sooner it will cause the roof to settle and buckle even more. I think the low spots are already sinking lower, because less water seems to drain off the edge of the roof than it did a few years ago. At least the roof doesn't leak anymore, but my fear is that the roof leaks will start again if I leave four inches of water on top of it continually. In July this water would just evaporate after a rain. Not in February.

I wish I could report that Dot had miraculously started walking again, but she still spends her day laying in various soft dog beds scattered around the house, waiting for me to move her around, or take her out to pee. She is in remarkably good spirits, considering her lack of mobility, but this is no way to live. I really hope that the surgery provides some relief and allows the healing process to begin. If I could ask Dot if she wanted to go through major surgery again, I'm sure she would say no. If I could ask her if she wanted to walk again, I'm equally sure she would say yes. I hope we made the right choice.

I called the hospital again today to confirm our check-in time and continue to hope that Dot will stay strong and be able to cope with the difficult days she has ahead. The surgeon told me that some dogs begin walking on their own within two weeks after her type of surgery. Others of course, require months of physical therapy. I hope that Dot is one of the lucky ones. She has been my friend and constant companion for over a decade now and I don't want to lose her. Please keep Dot in your thoughts and prayers tomorrow as she goes through this difficult but necessary surgery. The surgery itself will take about three hours, which seems like a very, very long time to me.

It feels like there is still a lot of unfinished business today, but it is getting late and we all need some sleep. Tomorrow is going to be a very long day.

Cookie is today's Dalmatian of the Day
Watch of the Day

Saturday, February 21, 2015

Day 1894

I went to Home Depot while Janet was watching Dot to stock up on furnace filters, drain cleaners, plungers, light bulbs and other mundane items that never seem to be there when you need them. On the way home, I paid another visit to the storage warehouse and resumed my search for the Anton Bauer battery charger. This time I found the elusive gadget, although it remains to be seen whether this charger is any better than the other one at home which appears to be worthless. I'll give the batteries 24 hours on the charger before I declare the entire effort a lost cause.

Dot seems to have reached some sort of plateau. She's not getting better and not getting worse. When I lift her up with the harness, she will move her legs but they will not support any weight. I try to hold her at just the right height, so her legs just touch the ground and she can simulate walking. Nobody's fooling anyone though. She and I both know that this is not really walking. For those of you who have asked, Dot's surgery is scheduled for next Thursday.

Since life is kind of hectic right now, I didn't finish all my assignments before the weekend rolled around. Watching over Dot this afternoon gave me an opportunity to catch up on everything. I wrote another article and shipped it off to its destination. I completed the updates on two more websites and looked at a video link that a client sent me. When people e-mail me YouTube links with a subject line saying "beautiful example," it usually means that they'd like to do something similar. I guess if we need to copy something, this would be a good place to start. The video was quite nice.

I'm grateful that we don't have to deal with all the snow that people on the East Coast are getting, but our Winter has still been a bit strange. One day it will be freezing cold and the next day it will seem like Spring. The plants are getting very confused. I have already seen daffodils blooming in the park and some trees are starting to bud. This is unfortunate, because there is more cold weather on the way. We are supposed to have freezing rain and sleet on Monday and Tuesday. Freezing rain is just a code word for power outage to me. I hate freezing rain.

I've got everything I need now to unclog the slow bathroom drain, so I guess that's what I'll do tomorrow. Maybe something more exciting will intervene and allow me to postpone this loathsome task. I certainly hope so. I need to get the water off the roof too, but I'm a bit wary about climbing up on the roof these days. Seeing Dot's condition reminds me that these things can happen to people as well. The last thing I need right now are back problems.

Lizzy is today's Dalmatian of the Day
Watch of the Day

Wednesday, February 18, 2015

Day 1891

I got a call from an old friend this morning, asking if I'd like to work with him on a new business proposal. It was kind of therapeutic to have something to think about other than sick dogs. If we got this business, it would be fun to work on. Almost like old times. I gave my friend an enthusiastic "yes" to his proposal and will begin working on a budget for the project tomorrow.

Janet and I are having a tough time making a decision about spinal surgery for Dot. We have both talked to friends with back problems and some have opted for surgery while others wouldn't even consider it. Spinal surgery is very different from repairing broken bones or removing tumors. Even the surgeons themselves are very guarded about promising a successful outcome. All I know is that sometimes it works and other times it doesn't.

For the moment, Dot seems happy enough. She isn't depressed and doesn't appear to be in much pain. Dot spent a big part of her day sleeping before the injury and she still spends a big part of her day sleeping. She still very enthusiastic about eating her dinner and she can pee and poop relatively normally with my assistance. The only thing she really misses is her morning walk. I can see the disappointment in her face when I take Dash on a walk without her. If I walk Dash, Janet stays behind with Dot. If Janet walks Dash, I stay behind. One of the things I need to ask the neurologist before we make a decision is whether she will ever be able to take a normal walk again, with or without the surgery. Dot loves her walks, and if her walking days are already over, it might be pointless to put her through the trauma of risky major surgery for nothing.

This month's credit card bills took my breath away. The trip to Vandenberg Air Force Base to watch the satellite launch, the recent cancer re-checks and ultrasound imaging for Dot and Dash, along with Dot's recent MRI were all on the same bill. I definitely hope my friend's big new project materializes. One way or another, I'm going to have to step up my game a bit to pay for this stuff.

Dot's vet is terrific. She's going to make another house-call tomorrow to give Dot acupuncture and evaluate her condition. I've seen improvements in Dot's condition every single day, but I don't know whether these small changes will continue or ever be enough. Even with the prednisolone, Dot still can't stand up on her own. The question I have for all vets at one point or another is "what would you do if this was your dog?" Usually they're pretty honest.

All in all, today wasn't bad. Dot and I are working out a routine that gets us through the day. Janet already has a nice job offer on the table from someone she respects. For the past two days I've been able to take care of Dot while still completing my normal workload. Maybe we can get through this after all. It was even relatively warm and sunny today. By the time Dash and I took our evening walk, it was 60 degrees.

Bailey is today's Dalmatian of the Day
Watch of the Day

Tuesday, February 17, 2015

Day 1890

The hardest thing about caring for a sick dog is that they don't understand what's going on. Even in her weakened and very compromised condition, Dot still wants to go about her normal life. If I wasn't continually watching her like a hawk, Dot would attempt to drag herself around the house, further damaging her already fragile spinal cord. In situation like this you've got to confine the dog to a small safe space where they can't hurt themselves, while still providing enough attention and activity so they don't become terribly depressed. Since Dot is taking prednisolone, she doesn't even have the luxury of sleeping for long periods of time. The drug makes her drink lots of water and urinate frequently, so she has to go outside and pee every few hours. I have to be prepared to move her with the Help 'Em Up Harness on very short notice. So far, I think I'm doing a pretty good job with all this, but it's exhausting.

During the periods when Dot was sleeping today, I managed to write another new article and submit it to my client. There were also a variety of website management issues that needed to be dealt with along with some client correspondence that needed to be addressed. With my isolated, computer centered work environment, I imagine that my work life will continue pretty much as usual. I will still sit in a small room and stare at a large monitor for long periods of time. I can still do anything that can be accomplished using a keyboard and a phone. I just can't do anything else.

I was hoping the decision that needs to be made about surgery would become easier as I watched Dot's progress. So far, it hasn't. I see small signs of improvement each day, but they are very small. I don't know if it will be weeks or months before her condition becomes significantly better. The main problem is that I don't have months. If the prednisolone isn't effective at reducing the inflammation in her spine enough for Dot to stand on her own again, her paralysis will become permanent.

Dot's vet is going to come over to the house in a few days to evaluate her condition and give her another acupuncture treatment. I'm hoping that she is able to see something I might have missed. It was much easier to make a decision about Dot's abdominal and Dash's thyroid cancer last year. Even though the surgery was risky in both cases, they both had to have it, or they would die. The surgeon was also very confident about his ability to remove the tumors. Spinal surgery is a lot trickier. Removing a foreign object from the spinal cord without damaging the cord itself is a very delicate process and extremely difficult for the best of surgeons. The fact the Dot would have one of the best neurosurgeons in Texas doing the operation still wouldn't give her more than a 60% chance of success.

I've been through this before with other dogs, but I was younger then. I'm incredibly tired right now. I know it's just a matter of time before this crisis joins all the other traumatic moments in my past. Even the healthiest of dogs won't live forever. Janet will probably return to work as soon as this crisis is over. It's a mystery to me why she doesn't enjoy retirement, but it is an equal mystery why dogs don't live longer. Whatever happens, I'll still be here recounting the tiny details of daily life. Dot and Dash might not be able to make it until Day 5000, but I'm determined to hang in there.

Lexi is today's Dalmatian of the Day
Watch of the Day

Saturday, February 14, 2015

Day 1887 - Valentines Day

After viewing Dot's MRI scans with the neurologist this morning, it became painfully clear why she is having problems. Several spinal discs were visibly deformed, but one in particular was pressing directly against the normally round spinal cord, squeezing it into a squashed oval shape. There was a tiny shard or fragment from this damaged disk that looked like it was poking into the spinal cord itself. I was going to show you the image this evening so you could see for yourself, but unfortunately the DVD the hospital burned for me was another damaged disc. When I got home, my computer said the DVD was blank.

I typed up a list of questions this morning before we drove up to the hospital to pick up Dot. The neurologist was very patient, answering every question and much more. The only thing that she wasn't able to do was promise me that Dot's problems could be resolved. Could the little shard that had broken off from the disc be successfully removed without damaging the spinal cord? It is very likely that it could. Could something go wrong during surgery, making her condition even worse? Yes that could happen too. Could steroids alone reduce the inflammation around the spinal cord enough to allow Dot to resume a reasonably normal life. Possibly. This appears to be one of those things that you just don't know until you try. One of the keys to non-surgical treatment is 100% bed rest for up to eight weeks. Nerves are very fragile, are easily damaged, and can take a very long time to regenerate.

I felt a little better about the possibility of surgery after talking to the neurologist today. I felt a little worse about the whole recovery process after I read a website that described in great detail the many ways that dogs can screw up their own recovery by just being dogs. Dogs don't understand the concept of 100% bed rest and will do everything they can to resume their old activities. You have to watch them like a hawk at all times to ensure that they don't injure themselves.

As bad as it is, there are small signs of hope. When we took Dot to the specialty hospital her rear legs were completely lifeless. This morning, I could see small signs that she was attempting to move them. As I used the Help 'Em Up Harness throughout the day to get her outside to pee, I would often notice that her legs were attempting to move. Dot is a long, long way from being to support her own weight without assistance, but the fact that there is still a little feedback between the nerves in her legs and her spinal cord was encouraging.

I had to be the legs for my first Dalmatian during the last year of his life and it just about killed me. I wouldn't be a bit surprised if this is where all my current shoulder problems originated. Spot had a different problem than Dot has now, however. With Spot, a combination of hip dysplasia and a late in life cruciate ligament tear caused most of of the weakness in his rear legs. Spot was very weak but was never completely paralyzed. It was still possible to take him on walks using a supportive harness. Dot's condition is more serious.

Helping Dot recover will test the limits of my housebound lifestyle. Even I need to get out sometime. Janet and I will figure out a way to keep Dot under supervision at all times. It's not going to be easy though. Dot has already tried to get off her dog bed unassisted three times today. She is not a good candidate for being crated though, so I will always keep her nearby and be her legs when it looks like she needs to move. So far there have been no accidents. She is pretty good about letting me know when she needs to pee. She's even better about letting me know when she's hungry, which is almost all the time.

Tonight should be interesting. Dot has always slept in the bed, but the neurologist says that she absolutely must sleep on the floor and not get in the bed with us. There is just too much danger if she inadvertently tried to hop off the bed while we were asleep. I'm such a light sleeper that I almost always wake up whenever either dog moves during the night. I don't want to risk anything though, so maybe I'll sleep on the floor with her. Dot is today's Dalmatian of the day. I took this picture on Valentines Day several years ago when she was feeling much better.

Dot is today's Dalmatian of the Day
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Friday, February 13, 2015

Day 1886

After a long day of evaluations and tests, Dot is resting quietly tonight at a veterinary specialty hospital in Lewisville, Texas. Why one of the best veterinary neurological centers in the country is located so far away from one of the biggest cities in Texas is still a mystery to me. The journey to Lewisville normally takes about 30 to 40 minutes when traffic is light. Of course traffic is never light in Dallas. We spent over an hour on the road this morning, mostly because an accident on the freeway shut down everything but a single lane of traffic at one point.

The accident made us a little late for our appointment, but the neurologist couldn't have been nicer. She was thorough, professional, and patiently answered all of our questions. We had to leave Dot at the facility because the neurologist said their in-house CAT scan equipment wouldn't be able to adequately image her spine in great enough detail. After driving Dot all the way to Lewisville, the hospital ambulance then had to drive her back to Irving where she received an MRI at Animal Imaging. This advanced imaging center has an MRI machine large enough to scan a horse. Race horses are brought here from all over the country for diagnostic imaging. I have been to this center before. It is an amazing place and very expensive. After our initial exam, we left Dot in the capable hands of the neurologist and returned to Dallas to pick up Dash from another veterinarian where he was spending the day in doggie day care. Life becomes very complicated when you can't leave your dogs alone for long periods of time. Dash is still prone to seizures and of course Dot currently can't even walk.

Late this afternoon, the neurologist called us with the results of her MRI scan. It was worse than I thought, but not totally unexpected, especially considering her slowly deteriorating condition during the past year. Dot has multiple bulging disks, including one severely damaged disc that is already pressing against the spinal cord. Considering Dot's age and the length of time her spine has been injured, there is at best a 60% chance that surgery can correct the problem. That leaves a 40% chance that surgery will accomplish nothing or even make the situation worse. Spinal surgery is risky even with a younger dog. In the short term, treatment with cortisone or steroids has almost exactly the same rate of success as surgery, but the benefits aren't permanent. The hard thing with an older dog is determining exactly what "short term" and "long term" mean. If cortisone and anti-inflamatory drugs can keep Dot mobile for another two years, that might be all she needs. She is, after all, a very old dog. On the other hand if surgery is the only way she'll ever have a chance of walking again, it changes the equation entirely. It's a very tough decision.

We will drive to Lewisville again tomorrow morning to pick up Dot and take her home with us. We will also begin her cortisone treatment tomorrow and hope for the best. Usually, if anti-inflammatory drugs work, you'll see some signs of improvement in about a week. If the drugs don't work at all, we've got several weeks to make a decision about surgery. We can't wait three months to decide though. At some point the condition becomes irreversible. There is no way the neurosurgeons can even attempt to fix all Dot's bulging discs. It is far too invasive. The recommended surgery would only attempt to remove the pressure caused by the worst of these damaged discs. If the spinal cord has already been compromised, it will take a long, long time to heal even after surgery. Nerve tissue regrows very slowly. Again, there are no promises that the surgery will work at all. The 60% chance of success is as close to a promise as we are ever going to get.

All I can do at this point is hope for the best. Dot is very resilient and has bounced back from serious injuries before. The past two years have taken their toll however. The desire is still there, but I don't know how much energy she has left. We'll do the best we can. That's all anyone can do.

Tessa is today's Dalmatian of the Day
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Thursday, February 12, 2015

Day 1885

Dot suffered a serious setback today. The day started normally enough. Both dogs went out in the back yard to pee right after they woke up. Everything was normal. Dot and Dash wandered around the house while we got dressed to take them on their regular morning walk. Then Dot decided to stretch. I'm sure that many of you have seen dogs stretch their legs out behind them after they've been sleeping. Dash does this every morning and Dot used to stretch this way as well when she was younger. I don't know what made her feel like stretching this way today. Maybe she was feeling good. Almost immediately something went wrong. After stretching, she couldn't stand normally again and began to stumble. Within minutes, her rear legs were completely paralyzed.

An emergency trip to the vet confirmed my worst fears. By stretching this way, Dot had managed to rupture or blow out a disc in her spine. This is serious. If we are really lucky, cortisone shots might be able to reduce the inflammation enough so she could regain some limited mobility. If we aren't so lucky, surgery is usually the only alternative. We are seeing one of the best veterinary neurologists in the area tomorrow morning and are hoping for the best. Dot will probably have an MRI or CAT scan tomorrow to see exactly what is going on in her spine. We can't even begin cortisone treatments yet because she still has Rimadyl in her system and the two drugs can't be administered at the same time. She has to wait a minimum of 48 hours to clear the remaining Rimadyl from her body.

Dot is totally confused. One minute she was feeling great and the next minute her rear legs are paralyzed. She is still alert and has a good appetite, but she can't move. We still had a special harness that helped our first Dalmatian get about when his legs began to fail. Unfortunately, this harness didn't fit Dot. During her exam, our vet was able to fit Dot for a new Help 'Em Up Harness which is much better than the old Walkabout Harness that Spot used to wear. The harness can only do so much though. Dot has no sensation in her rear legs and doesn't even attempt to move them.

One of the most difficult things with a paralyzed dog is getting them to pee and poop. Our vet was worried that the injury might have damaged the nerves that control her bladder. I was worried too. Luckily, Dot can still pee. It's messy and it's difficult to get her into a squatting position, but she was able to pee after dinner tonight. A little later, she pooped as well, so there's still hope.

I canceled all my appointments, including my dental surgery, for next week. I don't know what lies ahead at this point, but I'm sure it will involve constant care and attention. You can't really leave Dot alone in this condition because she could easily injure or even break one of her rear legs without even realizing it. I've cared for a dog with a spinal injury once before and it was extremely difficult. Spot did eventually recover though and I want to give Dot every possible opportunity to recover as well. I don't know if she's strong enough for surgery, especially since she had such a difficult time recovering from her cancer surgery last year. Hopefully, the neurologist will be able to give us some hopeful news tomorrow. I'm a strong person, but this has really got me down.

Lucy is today's Dalmatian of the Day
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